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Hold Plans to Original Commitment

What a difference two decades can make. When private plans first asked to join Medicare, they said they could provide Medicare’s benefits better and cheaper than the government. They argued for payments that were 5 percent lower than Medicare Fee-for-Service. Under that commitment, Congress agreed to let them participate. Today, Medicare Advantage plans cost taxpayers significantly more than traditional Medicare Fee-for-Service. On average, they’re paid 12 percent more — a 17 percentage-point swing from their “better and cheaper” argument.

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Rep. Michele Bachmann, who recently suspended her campaign for the presidency, speaks at the 2012 Conservative Political Action Conference in Washington, D.C., on Feb. 9.
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30 Hill Aides to Know

30 Hill Aides to Know

The clear expectation is Congress will get very little done this election year. But what does get accomplished, at least in the high-profile areas, will largely be the handiwork of an elite group of staffers — who combine policy expertise, political acumen and the trust of their lawmaker bosses to drive much of the legislative agenda.

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